Pieper is working on renovations with Spaw Glass at the Houston Medical Center’s Ben Taub Emergency Center. Renovations include: 18 new pre-and-post operational use beds, as well as 5 new operating rooms, a blood bank, nurse call stations, a pharmacy and much more. This project has been especially challenging, not only because of HIPAA regulations, but also because of Covid-19 had hit the Houston area at the start of the project.